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JENNIFER NICOLE WONG GUIDEBECK
NPI 1790209013
Social Worker - Clinical in Bloomington, IL

Active since July 28, 2017Opted out of Medicare · through May 13, 2028
3201 CLAIRBRIDGE DR, BLOOMINGTON, IL 61704(217) 620-5864 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2019, Jul 28, 2017 (2 updates tracked since 2017).

About Jennifer Nicole Wong Guidebeck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER NICOLE WONG GUIDEBECK (NPI 1790209013) is an individual clinical provider in Bloomington, Illinois and active in the NPI registry since July 2017. She has opted out of Medicare through May 13, 2028 and maintains a secondary practice location in Normal.

NPPES Registry Identity

NPI1790209013
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER NICOLE WONG GUIDEBECK
Location Address3201 CLAIRBRIDGE DRBloomington, IL 61704-9474
Mailing Address3201 Clairbridge DrBloomington, IL 61704-9474
Phone(217) 620-5864
Sole ProprietorNo
Enumeration DateJuly 28, 2017
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1790209013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3201 CLAIRBRIDGE DR, Bloomington, IL 61704
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Other Names 1

Other Name (5)Jennifer Guidebeck

Secondary Practice Location 1

Location 1706 Oglesby Ave Suite 300Normal, IL 61761 · Phone (217) 620-5864

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Nicole Wong Guidebeck has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2026 through May 13, 2028.

Opt-Out Effective DateMay 13, 2026
Opt-Out In Effect ThroughMay 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Wong Guidebeck's NPI number?

The NPI number for Jennifer Wong Guidebeck is 1790209013. It was assigned to this individual provider in the NPPES registry on July 28, 2017. The provider is also known as Jennifer Guidebeck.

Where is Jennifer Wong Guidebeck located?

Jennifer Wong Guidebeck practices at 3201 Clairbridge Dr, Bloomington, IL 61704. The listed phone number is (217) 620-5864.

What is Jennifer Wong Guidebeck's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Wong Guidebeck enrolled in Medicare?

No. Jennifer Wong Guidebeck has opted out of Medicare through May 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Wong Guidebeck was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.